Palliative Care Nursing Case Studies

Palliative Care Nursing Case Studies-11
Prior to implementing Pal Care, all patient notes were paper-based.

Prior to implementing Pal Care, all patient notes were paper-based.This system was laborious and time consuming, which limited the number of patients that staff could see in a day.Increasing the number of people from a Black, Asian and Minority Ethnic (BAME) background accessing palliative care services – Marie Curie Hospice, Cardiff and the Vale The Conversation Project – Empowering Royal United Hospitals Bath NHS Foundation Trust staff to feel more comfortable having conversations about the wishes of patients approaching the end of their life Building on Board support, education and training and CQUINs to sustain end of life care improvement – Worcestershire Acute Hospitals NHS Trust University Hospital Southampton NHS Foundation Trust: A whole system approach to improving acute End of Life Care Leeds Teaching Hospital Foundation Trust – A systematic approach to delivering person-centred end of life care improvement across a large trust Derby Hospital Foundation Trust – A measurable impact for patients whose recovery is uncertain Bradford Teaching Hospital Foundation Trust – Getting more people approaching their last year of life home from hospital sooner, if that’s their choice Developing communication skills training at Birmingham City University – Teaching large cohorts of nursing students to respond to the communication needs of patients and carers in a realistic way can be challenging.

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Palliative care is a skill set that requires some attention, notes Diane E.

Holland, Ph D, RN, clinical nurse researcher in the Department of Nursing and an associate professor in nursing at the Mayo Clinic College of Medicine.

“It is great to see that any member of our multidisciplinary team can go in and see what the other people have been putting in and the information sharing within our organisation is just so good.” They have also found that their multidisciplinary team meetings are much more effective, as staff “go to their meetings now with their laptops …

so we have a pharmacist, district nurses, the community team, the doctor and they’re all sitting there with their laptops and they are all looking at the same patient but someone can be looking at the care plan and the doctor has the medication up and they all have their input…By continuing to use this site, you consent to the use of cookies.We use cookies to offer you a better experience, personalize content, tailor advertising, provide social media features, and better understand the use of our services.Nurses on call would have to take a bulky folder home, that contained only an extract of information from each patient’s file.If they were called out to see a patient overnight, they had incomplete information to base their clinical care and decisions on.They can all share those notes at the one time and have that discussion.”The benefits of Pal Care have been recognised by Hospice Southland’s accreditors.After commencing using Pal Care, they gained their first two “continuous improvement” notations for their documentation.“We never got the continuous improvement with our paper notes so it was (Pal Care) that got us that achievement.”Eastern Palliative Care is the largest single community palliative care service in Victoria.They assisted in the development of Pal Care from the start.Similarly, if a patient is to be transferred to hospital, hospice staff can provide the hospital with a comprehensive patient summary.This summary can arrive at the hospital before the patient even arrives.


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